<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="TRE-R48-DiplomeEtatFrancais"/>
  <meta>
    <versionId value="9"/>
    <lastUpdated value="2025-07-02T18:18:10.480+00:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Narratif généré : CodeSystem TRE-R48-DiplomeEtatFrancais</b></p><a name="TRE-R48-DiplomeEtatFrancais"> </a><a name="hcTRE-R48-DiplomeEtatFrancais"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 8; Dernière mise à jour : 2025-04-25 18:12:49+0000</p><p style="margin-bottom: 0px">Profil: <a href="http://hl7.org/fhir/R4/shareablecodesystem.html">Shareable CodeSystem</a></p></div><p><b>Propriétés</b></p><p><b>Cette terminologie de référence (CodeSystem) définit les propriétés suivantes pour ses concepts</b></p><table class="grid"><tr><td><b>Nom</b></td><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>dateValid</td><td>dateValid</td><td/><td>dateTime</td><td>date de validité d'un code concept</td></tr><tr><td>dateMaj</td><td>dateMaj</td><td/><td>dateTime</td><td>Date de mise à jour d'un code concept</td></tr><tr><td>dateFin</td><td>dateFin</td><td/><td>dateTime</td><td>Date de fin d'exploitation d'un code concept</td></tr><tr><td>deprecationDate</td><td>deprecationDate</td><td>http://hl7.org/fhir/concept-properties#deprecationDate</td><td>dateTime</td><td>Date Concept was deprecated</td></tr><tr><td>status</td><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>code</td><td>A property that indicates the status of the concept.</td></tr><tr><td>retirementDate</td><td>retirementDate</td><td>http://hl7.org/fhir/concept-properties#retirementDate</td><td>dateTime</td><td>Date Concept was retired</td></tr></table><p><b>Concepts</b></p><p>This case-insensitive code system <code>https://mos.esante.gouv.fr/NOS/TRE_R48-DiplomeEtatFrancais/FHIR/TRE-R48-DiplomeEtatFrancais</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Définition</b></td><td><b>Déprécié</b></td><td><b>dateValid</b></td><td><b>dateMaj</b></td><td><b>dateFin</b></td><td><b>deprecationDate</b></td><td><b>status</b></td><td><b>French (France) (fr)</b></td></tr><tr><td style="white-space:nowrap">DE01<a name="TRE-R48-DiplomeEtatFrancais-DE01"> </a></td><td>DE Pharmacien</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2015-12-29T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE02<a name="TRE-R48-DiplomeEtatFrancais-DE02"> </a></td><td>DE Docteur en pharmacie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE03<a name="TRE-R48-DiplomeEtatFrancais-DE03"> </a></td><td>DE Docteur en chirurgie dentaire</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DE Docteur chirurgie dentaire</td></tr><tr><td style="white-space:nowrap">DE04<a name="TRE-R48-DiplomeEtatFrancais-DE04"> </a></td><td>DE Chirurgien-Dentiste</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE05<a name="TRE-R48-DiplomeEtatFrancais-DE05"> </a></td><td>DE Docteur en médecine</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE06<a name="TRE-R48-DiplomeEtatFrancais-DE06"> </a></td><td>DE Sage-Femme</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2015-12-29T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr style="background-color: #ffeeee"><td style="white-space:nowrap">DE07<a name="TRE-R48-DiplomeEtatFrancais-DE07"> </a></td><td>DE Audioprothésiste</td><td/><td>Déprécié</td><td>2007-07-25T15:04:42+01:00</td><td>2025-04-25T12:00:00+01:00</td><td>2025-04-25T12:00:00+01:00</td><td>2025-04-25T12:00:00+01:00</td><td>deprecated</td><td/></tr><tr><td style="white-space:nowrap">DE08<a name="TRE-R48-DiplomeEtatFrancais-DE08"> </a></td><td>DE Opticien-Lunetier</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE09<a name="TRE-R48-DiplomeEtatFrancais-DE09"> </a></td><td>DE Infirmier</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE10<a name="TRE-R48-DiplomeEtatFrancais-DE10"> </a></td><td>DE Infirmier psychiatrique</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE11<a name="TRE-R48-DiplomeEtatFrancais-DE11"> </a></td><td>DE Masseur-Kinésithérapeute</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE12<a name="TRE-R48-DiplomeEtatFrancais-DE12"> </a></td><td>DE Pédicure-Podologue</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE13<a name="TRE-R48-DiplomeEtatFrancais-DE13"> </a></td><td>DE Orthophoniste</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE14<a name="TRE-R48-DiplomeEtatFrancais-DE14"> </a></td><td>DE Orthoptiste</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE15<a name="TRE-R48-DiplomeEtatFrancais-DE15"> </a></td><td>DE Psychologue</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr style="background-color: #ffeeee"><td style="white-space:nowrap">DE16<a name="TRE-R48-DiplomeEtatFrancais-DE16"> </a></td><td>DE Ergothérapeute</td><td/><td>Déprécié</td><td>2007-07-25T15:04:42+01:00</td><td>2025-04-25T12:00:00+01:00</td><td>2025-04-25T12:00:00+01:00</td><td>2025-04-25T12:00:00+01:00</td><td>deprecated</td><td/></tr><tr style="background-color: #ffeeee"><td style="white-space:nowrap">DE17<a name="TRE-R48-DiplomeEtatFrancais-DE17"> </a></td><td>DE Psychomotricien</td><td/><td>Déprécié</td><td>2007-07-25T15:04:42+01:00</td><td>2025-04-25T12:00:00+01:00</td><td>2025-04-25T12:00:00+01:00</td><td>2025-04-25T12:00:00+01:00</td><td>deprecated</td><td/></tr><tr><td style="white-space:nowrap">DE18<a name="TRE-R48-DiplomeEtatFrancais-DE18"> </a></td><td>DE Manipulateur ERM</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2015-02-09T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE19<a name="TRE-R48-DiplomeEtatFrancais-DE19"> </a></td><td>DE Infirmier de bloc opératoire</td><td/><td/><td>2017-07-07T10:00:00+01:00</td><td>2017-07-07T10:00:00+01:00</td><td/><td/><td>active</td><td>DE Infirmier bloc opératoire</td></tr><tr><td style="white-space:nowrap">DE20<a name="TRE-R48-DiplomeEtatFrancais-DE20"> </a></td><td>DE Infirmier anesthésiste</td><td/><td/><td>2017-07-07T10:00:00+01:00</td><td>2017-07-07T10:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE21<a name="TRE-R48-DiplomeEtatFrancais-DE21"> </a></td><td>DE Infirmier puériculteur</td><td/><td/><td>2017-07-07T10:00:00+01:00</td><td>2017-07-07T10:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE22<a name="TRE-R48-DiplomeEtatFrancais-DE22"> </a></td><td>DE Cadre de santé</td><td/><td/><td>2017-07-07T10:00:00+01:00</td><td>2017-07-07T10:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE23<a name="TRE-R48-DiplomeEtatFrancais-DE23"> </a></td><td>DE IPA pathologies chroniques stabilisées</td><td/><td/><td>2019-10-25T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DE IPA pathologies chroniques</td></tr><tr><td style="white-space:nowrap">DE24<a name="TRE-R48-DiplomeEtatFrancais-DE24"> </a></td><td>DE IPA oncologie et hémato-oncologie</td><td/><td/><td>2019-10-25T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DE IPA oncologie</td></tr><tr><td style="white-space:nowrap">DE25<a name="TRE-R48-DiplomeEtatFrancais-DE25"> </a></td><td>DE IPA maladie rénale</td><td/><td/><td>2019-10-25T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DE Infirmier en pratique avancée mention maladie rénale chronique, dialyse et transplantation rénale</td></tr><tr><td style="white-space:nowrap">DE26<a name="TRE-R48-DiplomeEtatFrancais-DE26"> </a></td><td>DE IPA santé mentale</td><td/><td/><td>2019-10-25T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DE Infirmier en pratique avancée mention santé mentale</td></tr><tr><td style="white-space:nowrap">DE27<a name="TRE-R48-DiplomeEtatFrancais-DE27"> </a></td><td>DE IPA urgences</td><td>Le décret n° 2021-1384 du 25 octobre 2021 relatif à l'exercice en pratique avancée de la profession d'infirmiers, dans le domaine d'intervention des urgences, publié au Journal officiel ce 26 octobre, précise les modalités de l'exercice en pratique avancée de la profession d'infirmier dans le domaine spécifique d'intervention des urgences.</td><td/><td>2021-11-26T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DE Infirmier en pratique avancée mention urgences</td></tr><tr><td style="white-space:nowrap">DE28<a name="TRE-R48-DiplomeEtatFrancais-DE28"> </a></td><td>DE Assistant de Service Social</td><td>Article L411-1 du code de l'action sociale et des familles (CASF)</td><td/><td>2021-11-26T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DIP01<a name="TRE-R48-DiplomeEtatFrancais-DIP01"> </a></td><td>Doctorat d'Etat Biologie humaine</td><td/><td/><td>2008-03-20T10:49:18+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Doctorat Etat Biologie humaine</td></tr><tr><td style="white-space:nowrap">DE29<a name="TRE-R48-DiplomeEtatFrancais-DE29"> </a></td><td>DE Audioprothésiste</td><td>Article L4361-3 du code de la santé publique (CSP) ; article D636-1 et suivants du code de l'éducation</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style="white-space:nowrap">DE30<a name="TRE-R48-DiplomeEtatFrancais-DE30"> </a></td><td>DE Ergothérapeute</td><td>Article L4331-3 du code de la santé publique (CSP)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr style="background-color: #ffeeee"><td style="white-space:nowrap">DE31<a name="TRE-R48-DiplomeEtatFrancais-DE31"> </a></td><td>DE Diététicien</td><td>Article L4371-3 du code de la santé publique (CSP)</td><td>Déprécié</td><td>2023-03-31T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>deprecated</td><td/></tr><tr><td style="white-space:nowrap">DE32<a name="TRE-R48-DiplomeEtatFrancais-DE32"> </a></td><td>DE Psychomotricien</td><td>Article L4332-3 du code de la santé publique (CSP)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr style="background-color: #ffeeee"><td style="white-space:nowrap">DE33<a name="TRE-R48-DiplomeEtatFrancais-DE33"> </a></td><td>DE Orthoprothésiste</td><td>1° de l'article D4364-8 du code de la santé publique (CSP)</td><td>Déprécié</td><td>2023-03-31T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>deprecated</td><td/></tr><tr style="background-color: #ffeeee"><td style="white-space:nowrap">DE34<a name="TRE-R48-DiplomeEtatFrancais-DE34"> </a></td><td>DE Podo-Orthésiste</td><td>Article D4364-8 du code de la santé publique (CSP)</td><td>Déprécié</td><td>2023-03-31T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>deprecated</td><td/></tr><tr style="background-color: #ffeeee"><td style="white-space:nowrap">DE35<a name="TRE-R48-DiplomeEtatFrancais-DE35"> </a></td><td>DE Orthopédiste-Orthésiste</td><td>Article D4364-10 du code de la santé publique (CSP)</td><td>Déprécié</td><td>2023-03-31T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>deprecated</td><td/></tr><tr style="background-color: #ffeeee"><td style="white-space:nowrap">DE36<a name="TRE-R48-DiplomeEtatFrancais-DE36"> </a></td><td>DE Oculariste</td><td>Article D4364-9 du code de la santé publique (CSP)</td><td>Déprécié</td><td>2023-03-31T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>deprecated</td><td/></tr><tr style="background-color: #ffeeee"><td style="white-space:nowrap">DE37<a name="TRE-R48-DiplomeEtatFrancais-DE37"> </a></td><td>DE Epithésiste</td><td>Article D4364-9 du code de la santé publique (CSP)</td><td>Déprécié</td><td>2023-03-31T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>2024-07-26T12:00:00+01:00</td><td>deprecated</td><td/></tr><tr><td style="white-space:nowrap">DE38<a name="TRE-R48-DiplomeEtatFrancais-DE38"> </a></td><td>DE Technicien de Laboratoire Médical (DETLM, DETAB ou DELAM)</td><td>L'appellation du diplôme d'état a changé au cours du temps : DELAM avant 1996, DETAB de 1996 à 2010 et DETLM depuis 2010.</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2024-06-28T12:00:00+01:00</td><td/><td/><td>active</td><td>DETLM/DETAB/DELAM Tech Lab</td></tr><tr><td style="white-space:nowrap">DE39<a name="TRE-R48-DiplomeEtatFrancais-DE39"> </a></td><td>DE Manipulateur d'Electro-Radiologie médicale</td><td>Articles L4351-3, D4351-7 du code de la santé publique (CSP)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DE Manip Electro-Radiologie</td></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
    <valuePeriod>
      <start value="2015-12-29T00:00:00+01:00"/>
    </valuePeriod>
  </extension>
  <url value="https://mos.esante.gouv.fr/NOS/TRE_R48-DiplomeEtatFrancais/FHIR/TRE-R48-DiplomeEtatFrancais"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.2.250.1.213.1.6.1.31"/>
  </identifier>
  <version value="20250425120000"/>
  <name value="TRE_R48_DiplomeEtatFrancais"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2025-04-25T12:00:00+01:00"/>
  <publisher value="Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris"/>
  <description value="Diplôme de l'Etat français"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="FR"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="false"/>
  <content value="complete"/>
  <property>
    <code value="dateValid"/>
    <description value="date de validité d'un code concept"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="dateMaj"/>
    <description value="Date de mise à jour d'un code concept"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="dateFin"/>
    <description value="Date de fin d'exploitation d'un code concept"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="deprecationDate"/>
    <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"/>
    <description value="Date Concept was deprecated"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="status"/>
    <uri value="http://hl7.org/fhir/concept-properties#status"/>
    <description value="A property that indicates the status of the concept."/>
    <type value="code"/>
  </property>
  <property>
    <code value="retirementDate"/>
    <uri value="http://hl7.org/fhir/concept-properties#retirementDate"/>
    <description value="Date Concept was retired"/>
    <type value="dateTime"/>
  </property>
  <concept>
    <code value="DE01"/>
    <display value="DE Pharmacien"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2015-12-29T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE02"/>
    <display value="DE Docteur en pharmacie"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE03"/>
    <display value="DE Docteur en chirurgie dentaire"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DE Docteur chirurgie dentaire"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE04"/>
    <display value="DE Chirurgien-Dentiste"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE05"/>
    <display value="DE Docteur en médecine"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE06"/>
    <display value="DE Sage-Femme"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2015-12-29T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE07"/>
    <display value="DE Audioprothésiste"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2025-04-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2025-04-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2025-04-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DE08"/>
    <display value="DE Opticien-Lunetier"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE09"/>
    <display value="DE Infirmier"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE10"/>
    <display value="DE Infirmier psychiatrique"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE11"/>
    <display value="DE Masseur-Kinésithérapeute"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE12"/>
    <display value="DE Pédicure-Podologue"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE13"/>
    <display value="DE Orthophoniste"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE14"/>
    <display value="DE Orthoptiste"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE15"/>
    <display value="DE Psychologue"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE16"/>
    <display value="DE Ergothérapeute"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2025-04-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2025-04-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2025-04-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DE17"/>
    <display value="DE Psychomotricien"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2025-04-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2025-04-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2025-04-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DE18"/>
    <display value="DE Manipulateur ERM"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-25T15:04:42+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2015-02-09T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE19"/>
    <display value="DE Infirmier de bloc opératoire"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DE Infirmier bloc opératoire"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2017-07-07T10:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2017-07-07T10:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE20"/>
    <display value="DE Infirmier anesthésiste"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2017-07-07T10:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2017-07-07T10:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE21"/>
    <display value="DE Infirmier puériculteur"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2017-07-07T10:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2017-07-07T10:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE22"/>
    <display value="DE Cadre de santé"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2017-07-07T10:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2017-07-07T10:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE23"/>
    <display value="DE IPA pathologies chroniques stabilisées"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DE IPA pathologies chroniques"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DE Infirmier en pratique avancée mention pathologies chroniques stabilisées"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-10-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE24"/>
    <display value="DE IPA oncologie et hémato-oncologie"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DE IPA oncologie"/>
    </designation>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DE Infirmier en pratique avancée mention oncologie et hémato-oncologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-10-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE25"/>
    <display value="DE IPA maladie rénale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DE Infirmier en pratique avancée mention maladie rénale chronique, dialyse et transplantation rénale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-10-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE26"/>
    <display value="DE IPA santé mentale"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DE Infirmier en pratique avancée mention santé mentale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2019-10-25T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE27"/>
    <display value="DE IPA urgences"/>
    <definition value="Le décret n° 2021-1384 du 25 octobre 2021 relatif à l'exercice en pratique avancée de la profession d'infirmiers, dans le domaine d'intervention des urgences, publié au Journal officiel ce 26 octobre, précise les modalités de l'exercice en pratique avancée de la profession d'infirmier dans le domaine spécifique d'intervention des urgences."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DE Infirmier en pratique avancée mention urgences"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2021-11-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE28"/>
    <display value="DE Assistant de Service Social"/>
    <definition value="Article L411-1 du code de l'action sociale et des familles (CASF)"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2021-11-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DIP01"/>
    <display value="Doctorat d'Etat Biologie humaine"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Doctorat Etat Biologie humaine"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2008-03-20T10:49:18+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE29"/>
    <display value="DE Audioprothésiste"/>
    <definition value="Article L4361-3 du code de la santé publique (CSP) ; article D636-1 et suivants du code de l'éducation"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE30"/>
    <display value="DE Ergothérapeute"/>
    <definition value="Article L4331-3 du code de la santé publique (CSP)"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE31"/>
    <display value="DE Diététicien"/>
    <definition value="Article L4371-3 du code de la santé publique (CSP)"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DE32"/>
    <display value="DE Psychomotricien"/>
    <definition value="Article L4332-3 du code de la santé publique (CSP)"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE33"/>
    <display value="DE Orthoprothésiste"/>
    <definition value="1° de l'article D4364-8 du code de la santé publique (CSP)"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DE34"/>
    <display value="DE Podo-Orthésiste"/>
    <definition value="Article D4364-8 du code de la santé publique (CSP)"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DE35"/>
    <display value="DE Orthopédiste-Orthésiste"/>
    <definition value="Article D4364-10 du code de la santé publique (CSP)"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DE36"/>
    <display value="DE Oculariste"/>
    <definition value="Article D4364-9 du code de la santé publique (CSP)"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DE37"/>
    <display value="DE Epithésiste"/>
    <definition value="Article D4364-9 du code de la santé publique (CSP)"/>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateFin"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="deprecationDate"/>
      <valueDateTime value="2024-07-26T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="deprecated"/>
    </property>
  </concept>
  <concept>
    <code value="DE38"/>
    <display value="DE Technicien de Laboratoire Médical (DETLM, DETAB ou DELAM)"/>
    <definition value="L'appellation du diplôme d'état a changé au cours du temps : DELAM avant 1996, DETAB de 1996 à 2010 et DETLM depuis 2010."/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DETLM/DETAB/DELAM Tech Lab"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-06-28T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="DE39"/>
    <display value="DE Manipulateur d'Electro-Radiologie médicale"/>
    <definition value="Articles L4351-3, D4351-7 du code de la santé publique (CSP)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="DE Manip Electro-Radiologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2023-03-31T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
</CodeSystem>